CHARLES ANDREW CHADAKOFF (NPI# 1770782195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770782195 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW CHADAKOFF |
| Credential | PA-C |
| Practice Address |
5380 S Rainbow Blvd Las Vegas NV 89118-1877 |
| Mailing Address |
7326 Laramie Ave Las Vegas NV 89113-3097 |
| Practice Telephone | 7028452841 |
| Practice Fax Number | 7022524405 |
| Mailing Telephone | 7027874867 |
| Mailing Fax Number | 7026149928 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1050 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1050 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100512583 | 05 |
| Street Address |
5380 S RAINBOW BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449100 | Craig Anthony Hartman | Obstetrics & Gynecology | 5380 S Rainbow Blvd, Suite 108, Las Vegas, NV 89118-1877 | 2005-07-07 |
| 1194350371 | Dragana Tomic | Registered Nurse | 5380 S Rainbow Blvd, Las Vegas, NV 89118-1877 | 2020-03-07 |
| 1558807313 | Parker Medical Pllc | Pediatrics | 5380 S Rainbow Blvd, Ste 228, Las Vegas, NV 89118-1877 | 2017-01-17 |
| 1316328313 | Sharon Mae Labrocca | Nurse Practitioner | 5380 S Rainbow Blvd, Ste. 120, Las Vegas, NV 89118-1877 | 2015-06-15 |
| 1639575046 | Swenson Foot & Ankle, P.C. | Podiatrist | 5380 S Rainbow Blvd, Ste 318, Las Vegas, NV 89118-1877 | 2014-11-12 |
| 1811308604 | Peggy Lynn Beller | Nurse Practitioner | 5380 S Rainbow Blvd, Ste. 120, Las Vegas, NV 89118-1877 | 2014-05-14 |
| 1558648071 | Orna Fisher, Md, Ltd | Surgery | 5380 S Rainbow Blvd, Suite 210, Las Vegas, NV 89118-1877 | 2011-11-11 |
| 1750661294 | Grant R Swenson | Podiatrist | 5380 S Rainbow Blvd, Ste 318, Las Vegas, NV 89118-1877 | 2011-08-26 |
| 1114243672 | Craig Hartman, D.o., Ltd. | Obstetrics & Gynecology | 5380 S Rainbow Blvd, Suite 108, Las Vegas, NV 89118-1877 | 2010-04-08 |
| 1609001759 | Ryon Eugene Parker | Internal Medicine | 5380 S Rainbow Blvd, Suite 228, Las Vegas, NV 89118-1877 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.